05D0683982 CLIA NUMBER - GEORGE M JAYATILAKA MD

Laboratory Demographics

  • CLIA Code: 05D0683982
  • Facility Name: GEORGE M JAYATILAKA MD
  • Facility Address: 1045 ATLANTIC AVENUE 818
    LONG BEACH, CA
    ZIP 90813
  • Facility Phone: 310 436-8117
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: GEORGE M. JAYATILAKA MD
  • NPI Number: 1073548764
  • Taxonomy: 207P00000X - Emergency Medicine

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CLIA Record

Field Name Field Value
CLIA Number 05D0683982
LAB Type Physician Office
Facility Name GEORGE M JAYATILAKA MD
Street 1045 ATLANTIC AVENUE 818
City LONG BEACH
State CA
ZIP 90813
Phone 310 436-8117
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/15/2025
Certificate Expiration Date 3/14/2027
Facility Type Physician Office
Lab Director GEORGE M. JAYATILAKA MD

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This page was last updated on: 9/29/2025